Exploratory, prospective, randomized, comparative, open trial with control group treated to assess whether the effective use of urinary FSH (uFSH) or recombinant FSH (rFSH) can be influenced by genotype of receptor N680S FSH Gene Polymorphism.
The aim of this study is to determine whether the number of oocytes obtained in women oocyte donors may be different with the use of rFSH or uFSH based on receptor N680S FSHR gene polymorphism. This is an exploratory, prospective, randomized, comparative, open trial with control group treated according to the usual therapeutic approach in our institution for ovarian stimulation for oocyte donors prospective exploratory study control group . Three groups will be set based on follicle-stimulating hormone receptor (FSHR) genotype for the polymorphism N680: Group SS (Ser/Ser), group SN (Ser/Asn) and group NN (Asn/Asn). Donor members of each group will be randomly assigned to receive daily 225 IU of recombinant or urinary FSH for controlled ovarian stimulation protocol with antagonists. To avoid unintentional bias, allocation to treatment group will take place at the time in which ovarian stimulation according begins with a list of random allocation of treatments for each of the groups (SS , SN and NN) that will be associated the code of the patient and are prepared and will be available before the start of the study. The code assignment and treatment of the patient will consecutively in the order of the list and must be recorded in the medical history of the patient. The next scheduled patient will be assigned to the code and the next immediate treatment in this list. The protocol for controlled ovarian stimulation in oocyte donors, will be performed always according to the usual protocol in the Instituto Bernabeu.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
180
Ovarian stimulation with highly purified urinary follicle-stimulating hormone
Controled ovarian stimulation with recombinant follicle-stimulating hormone
Instituto Bernabeu
Alicante, Spain
RECRUITINGnumber of cumulus-oocyte complexes obtained
number of cumulus-oocyte complexes obtained by follicle puncture at the end of ovarian stimulation
Time frame: through study completion, an average of 2 weeks
number of metaphase II (MII) oocytes
number of metaphase II (MII) oocytes obtained by follicle puncture at the end of ovarian stimulation
Time frame: through study completion, an average of 2 weeks
number of useful oocytes (inseminated or microinjected)
number of useful oocytes after artificial insemination or microinjection
Time frame: through study completion, an average of 2 weeks
duration of stimulation (days)
mean number of days between the start of ovarian stimulation until the day of the follicular puncture
Time frame: through study completion, an average of 2 weeks
FSH treatment units obtained by oocyte
FSH treatment units administrated per oocyte obtained
Time frame: through study completion, an average of 2 weeks
FSH treatment cost per oocyte obtained
FSH treatment cost per oocyte obtained
Time frame: through study completion, an average of 2 weeks
fertilization rate
fertilization rate at 18 hours post-insemination
Time frame: through study completion, an average of 2 weeks
occurrence of side effects
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
occurrence of side effects associated with urinary FSH and recombinant FSH
Time frame: through study completion, an average of 2 weeks